Provider Demographics
NPI:1285661314
Name:HAWBAKER, ELDON LEON (MD)
Entity Type:Individual
Prefix:DR
First Name:ELDON
Middle Name:LEON
Last Name:HAWBAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11912 INDIAN LN
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-4204
Mailing Address - Country:US
Mailing Address - Phone:301-791-6234
Mailing Address - Fax:
Practice Address - Street 1:11912 INDIAN LN
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-4204
Practice Address - Country:US
Practice Address - Phone:301-791-6234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO49612086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery